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Updated: May 7, 2026

Intraoperative Ultrasound in Spinal Surgery
Published on: August 17, 2022
A case of conservatively managed idiopathic spinal cord herniation presenting with low-pressure headache
Marco Mancuso-Marcello1, Joseph Frantzias2, Carl Hardwidge3
1Department of Radiology, The Royal London Hospital, Barts Health NHS Trust.
Abstract:
Idiopathic spinal cord herniation presenting with low-pressure headache is extremely rare. We present a case of thoracic ventral spinal cord herniation in a 35-year-old lady who presented with low-pressure headaches. To our knowledge, this is only the fourth case described in the literature of spontaneous ventral cord herniation presenting in this way. The patient was managed conservatively with no manifestation of focal neurological symptoms at 12-month follow-up. The proposed aetiology of spontaneous ventral cord herniation is an initial CSF leak via a dural defect, through which the cord subsequently also enters blocking the CSF leak. We endorse a conservative approach for patients who present similarly, secondary to the above pathophysiology.
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